# Durbia Healthcare Ltd

*Operated by Durbia Limited.*

Durbia Healthcare Ltd is a CQC-regulated home-care agency in Nottingham.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 12/01/2024

## Practical info

- Postcode: NG6 0DZ
- Registered manager: Dzemwa, Taurai
- Local authority: Nottingham
- Region: East Midlands
- City: Nottingham
- Last CQC check: 12/Jan/2024 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Service exited Special Measures following demonstrated improvements; no longer in breach of Regulations 12, 17, or 19.
  - Published: 2024-01-16
- Finding
  - Evidence: Infection prevention and control policy up to date; staff provided with PPE.
  - Published: 2024-01-16
- Finding
  - Evidence: Registered manager communicated openly with people and relatives about previous failings and involved them in lessons-learned action planning.
  - Published: 2024-01-16
- Finding
  - Evidence: Care plans reviewed and updated to provide clear, person-centred guidance including emergency situations such as choking.
  - Published: 2024-01-16
- Finding
  - Evidence: Staff received upskilled training in oxygen therapy, catheter care, safeguarding, and medicine administration with competency checks evidenced.
  - Published: 2024-01-16
- Finding
  - Evidence: Staff recruited safely with robust recruitment checklists and appropriate DBS and reference checks in place.
  - Published: 2024-01-16
- Finding
  - Evidence: Significant improvements to medicine management and administration since last inspection; MAR charts completed in line with best practice guidance.
  - Published: 2024-01-16
- **communication_with_families** _(minor)_
  - Evidence: more time was required to allow the provider to demonstrate they were able to act on people's feedback and maintain standards going forward.
  - Published: 2024-01-16
- **person_centred_care** _(minor)_
  - Evidence: More time was needed to fully reflect and evaluate on whether people's experience and care provided supported them to meet their goals.
  - Published: 2024-01-16
- **leadership** _(minor)_
  - Evidence: the registered manager was working to develop open and trusting relationships with other professional such as the local authority and healthcare professional and more time was needed
  - Published: 2024-01-16
- **governance** _(moderate)_
  - Evidence: more time was required to ensure these new processes and audits identified risks and incidents were actioned appropriately.
  - Published: 2024-01-16
- Finding
  - Evidence: Regular team meetings and staff supervisions were held
  - Published: 2023-12-16
- Finding
  - Evidence: Complaints policy in place; one relative reported concerns were acted on quickly by the manager
  - Published: 2023-12-16
- Finding
  - Evidence: Clear and up-to-date infection prevention and control policy with PPE provision for staff
  - Published: 2023-12-16
- Finding
  - Evidence: MCA policy in place and staff knowledgeable about Mental Capacity Act principles
  - Published: 2023-12-16
- Finding
  - Evidence: Staff described by some people as 'kind and compassionate' and 'willing to go the extra mile'
  - Published: 2023-12-16
- **person_centred_care** _(moderate)_
  - Evidence: The culture was not consistently person centred and the provider did not record outcomes for people.
  - Published: 2023-12-16
- **leadership** _(critical)_
  - Evidence: The provider did not understand the principles of good quality care and had not developed systems and processes to ensure compliance with regulations.
  - Published: 2023-12-16
- **incident_learning** _(moderate)_
  - Evidence: We found no action had been taken to embed a culture of learning lessons from previous incidents.
  - Published: 2023-12-16
- **record_keeping** _(critical)_
  - Evidence: Gaps were identified in MAR charts. Staff had not recorded why these medicines had been administered and audits had failed to identify these gaps.
  - Published: 2023-12-16

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-12-16
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-12-16
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-12-16
- Finding
  - Using medicines safely
  - Published: 2023-12-16
- Finding
  - Staffing and recruitment; Learning lessons when things go wrong
  - Published: 2023-12-16

### well_led

- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-12-16
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-12-16
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-12-16
- Finding
  - Working in partnership with others
  - Published: 2023-12-16
- Finding
  - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements
  - Published: 2023-12-16

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-4889728347

HomeCare Compass is an independent guide and is not affiliated with the CQC.